Dawn Lynne Johnson, COTA, LMT

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

4978-27 Issued in WI

Practice address

1226 Berlin St
Waupaca, WI 54981-1991

Phone

(715) 258-5521

NPI assigned

Apr 9, 2013

Last updated

Apr 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1750724704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 BERLIN ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811991",
            "telephone_number": "715-258-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAWN",
        "middle_name": "LYNNE",
        "credential": "COTA, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "4978-27",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "11007-146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hoffmann Clinic
• Whitney A Hoffmann
• Aaron Holt, CSAC
• Iris Health Clinic LLC
• Adam Michael Irwin, PT
• Wendy G Johnson, APNP
• Kristen L Joness
• David Kempfert, RPH
• Jessica Lynn Kennedy, NP
• Amy T Kenworthy, MD

• Occupational Therapy Assistant in Waupaca, WI
• Providers in Waupaca, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.